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Epiploic appendagitis in a 27-year-old man

Ryohei Uehara1, Hajime Isomoto, Naoyuki Yamaguchi

  • 1Department of Gastroenterology and Hepatology, Nagasaki University Hospital, Nagasaki, Japan.

Medical Science Monitor : International Medical Journal of Experimental and Clinical Research
|October 1, 2011
PubMed
Abstract

Insights

Epiploic appendagitis, an uncommon cause of abdominal pain, involves ischemic infarction of an epiploic appendage. Computed tomography (CT) is crucial for accurate diagnosis, differentiating it from other conditions.

Area of Science:

  • Gastroenterology
  • Abdominal Imaging

Background:

  • Epiploic appendagitis is a self-limiting condition caused by ischemic infarction of an epiploic appendage.
  • It results from torsion or spontaneous thrombosis of the appendage's central draining vein.

Observation:

  • A case report details a 27-year-old male presenting with acute right lower quadrant abdominal pain.
  • Physical examination revealed focal tenderness, and laboratory tests showed leukocytosis and elevated C-reactive protein.
  • Computed tomography (CT) identified a characteristic pericolonic mass with a hyperdense ring and surrounding fat stranding.

Findings:

  • CT findings were diagnostic of primary epiploic appendagitis.
  • The patient received antibiotics due to secondary parietal peritoneum inflammation.

Implications:

  • Epiploic appendagitis presents with sudden focal abdominal pain and tenderness.
  • Accurate diagnosis is challenging but achievable with CT, distinguishing it from conditions with similar symptoms.
  • Clinical awareness of epiploic appendagitis is essential for appropriate patient management.

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